{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/93055"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/93055","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"Providing the option to look: Independent clinic workers' approaches to fetal viewing practices","abstract":"This Dissertation was approved for publication on 2016-07-12 at 13:09.","abstract_html":"This Dissertation was approved for publication on 2016-07-12 at 13:09.","abstract_has_math":false,"creators":["Hann, Lena"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Community Health","degree_department":null,"school":null,"contributors":["Littlefield, Melissa M.","Ludlow, Jeannie","Clancy, Kathryn","Huhman, Marian","Sydnor, Synthia"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-11-10T18:42:57Z","date_published":"2016-11-10T18:42:57Z","updated_at":"2026-07-22T22:26:35Z","subjects":["Products of Conception","Fetal Tissue Viewing","Abortion","Clinic Workers"],"languages":["en"],"rights":["Copyright 2016 Lena Rose Hann"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/2142/93055","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Littlefield, Melissa M.","Ludlow, Jeannie","Clancy, Kathryn","Huhman, Marian","Sydnor, Synthia"]},{"key":"dc:creator","label":"Author","values":["Hann, Lena"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2016-11-10T18:42:57Z","2018-11-11T10:15:19Z","2070-02-24T06:00:00Z","2016-07-12","2016-08"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Community Health"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Products of Conception","Fetal Tissue Viewing","Abortion","Clinic Workers"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2016 Lena Rose Hann"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/2142/93055"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["This Dissertation was approved for publication on 2016-07-12 at 13:09.","\"Background: More than one million surgical abortions are performed annually in the United States, resulting in an equal number of fetal tissues that are handled in the clinic setting. To date, only one study has assessed patient and provider experiences with fetal viewing after surgical abortion, even though evidence suggests that patients sometimes request to view the post-abortion tissue. Purpose: The overall purpose of this dissertation was to understand how products of conception (POC) viewing occurs at independent abortion clinics in the United States, and how clinic workers experience this aspect of their jobs. Methods: Three studies explored POC viewing though a mixed-methodological approach, informed by feminist standpoint theory and community-based participatory research frameworks. Study 1 piloted the approach of investigating POC viewing with 7 clinic workers (CWs). Interview data was analyzed qualitatively into key themes. Study 2 utilized community-building and knowledge-sharing to develop and implement a survey that examined if, when, where, and how POC viewing occurred at independent abortion clinics. Descriptive and comparative statistics described trends among respondents. Study 3 built on the previous two studies by visiting clinics that participated in the survey and interviewing clinic workers about their POC viewing strategies and experiences. Qualitative thematic analysis and descriptive, comparative, and correlation statistics described trends among respondents. All three studies were then analyzed together for common trends and relevance to previous studies. Results: These studies yielded interview data from 25 clinic workers and survey data from 22 clinics. Qualitative and quantitative analyses revealed common themes across studies and participants, indicating saturation of knowledge about clinic workers' POC viewing experiences at independent clinics. These common themes include: 1) Patients' reasons for viewing POC; 2) CW comfort with POC and fetal development; 3) POC viewing as quality abortion care; and 4) Clinic policies, practices, and training. Themes were put into conversation with an existing fetal development guide's author (Derenge, 2016) and an abortion worker and scholar's call for witnesses of the \"\"the things we cannot say\"\" (Ludlow, 2008), illuminating the realities, benefits of, and barriers to POC viewing at abortion clinics. Significance: This dissertation is the first to explore the breadth of POC viewing in the United States, and is the first to examine the phenomenon solely from the perspective of clinic workers. The studies within this dissertation have laid the groundwork for new fetal understandings, professional development for clinic workers, and challenges to abortion stigma. Themes from this dissertation can and will be used to develop a comprehensive and adaptable best practices guide for clinic use.\"","Submission published under a 24 month embargo labeled 'U of I Access', the embargo will last until 2018-08-01","The student, Lena Hann, accepted the attached license on 2016-07-12 at 11:19.","The student, Lena Hann, submitted this Dissertation for approval on 2016-07-12 at 11:26.","DSpace SAF Submission Ingestion Package generated from Vireo submission #9886 on 2016-11-10 at 12:25:16","Made available in DSpace on 2016-11-10T18:42:57Z (GMT). No. of bitstreams: 2 HANN-DISSERTATION-2016.pdf: 1480788 bytes, checksum: 22c1dc43d3c965539b432603db45c8f0 (MD5) LICENSE.txt: 4206 bytes, checksum: 96f536f121f25f945687bd2e16ad8498 (MD5) Previous issue date: 2016-07-12","Embargo set by: Seth Robbins for item 95478 Lift date: 2018-11-10T18:43:22Z Reason: Author requested U of Illinois access only (OA after 2yrs) in Vireo ETD system","U of I Only Restriction Lifted for Item 95478 on 2018-11-11T10:15:19Z.","U of I Only Restriction set for Item 95478 on 2020-01-22T16:17:50Z with date 2022-01-22 by fschaef2@illinois.edu.","U of I Only Restriction set for Item 95478 on 2020-01-22T16:17:53Z with date 2022-01-22 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:06Z with date 2070-02-24 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:14Z with date 2070-02-24 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:36Z with date 2070-02-24 by fschaef2@illinois.edu.","Author submitted a 50-year closed restriction request.","Limited"]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Providing the option to look: Independent clinic workers' approaches to fetal viewing practices"]}]}],"canonical_facts":{"dc:contributor":["Littlefield, Melissa M.","Ludlow, Jeannie","Clancy, Kathryn","Huhman, Marian","Sydnor, Synthia"],"dc:creator":["Hann, Lena"],"dc:date":["2016-11-10T18:42:57Z","2018-11-11T10:15:19Z","2070-02-24T06:00:00Z","2016-07-12","2016-08"],"dc:description":["This Dissertation was approved for publication on 2016-07-12 at 13:09.","\"Background: More than one million surgical abortions are performed annually in the United States, resulting in an equal number of fetal tissues that are handled in the clinic setting. To date, only one study has assessed patient and provider experiences with fetal viewing after surgical abortion, even though evidence suggests that patients sometimes request to view the post-abortion tissue. Purpose: The overall purpose of this dissertation was to understand how products of conception (POC) viewing occurs at independent abortion clinics in the United States, and how clinic workers experience this aspect of their jobs. Methods: Three studies explored POC viewing though a mixed-methodological approach, informed by feminist standpoint theory and community-based participatory research frameworks. Study 1 piloted the approach of investigating POC viewing with 7 clinic workers (CWs). Interview data was analyzed qualitatively into key themes. Study 2 utilized community-building and knowledge-sharing to develop and implement a survey that examined if, when, where, and how POC viewing occurred at independent abortion clinics. Descriptive and comparative statistics described trends among respondents. Study 3 built on the previous two studies by visiting clinics that participated in the survey and interviewing clinic workers about their POC viewing strategies and experiences. Qualitative thematic analysis and descriptive, comparative, and correlation statistics described trends among respondents. All three studies were then analyzed together for common trends and relevance to previous studies. Results: These studies yielded interview data from 25 clinic workers and survey data from 22 clinics. Qualitative and quantitative analyses revealed common themes across studies and participants, indicating saturation of knowledge about clinic workers' POC viewing experiences at independent clinics. These common themes include: 1) Patients' reasons for viewing POC; 2) CW comfort with POC and fetal development; 3) POC viewing as quality abortion care; and 4) Clinic policies, practices, and training. Themes were put into conversation with an existing fetal development guide's author (Derenge, 2016) and an abortion worker and scholar's call for witnesses of the \"\"the things we cannot say\"\" (Ludlow, 2008), illuminating the realities, benefits of, and barriers to POC viewing at abortion clinics. Significance: This dissertation is the first to explore the breadth of POC viewing in the United States, and is the first to examine the phenomenon solely from the perspective of clinic workers. The studies within this dissertation have laid the groundwork for new fetal understandings, professional development for clinic workers, and challenges to abortion stigma. Themes from this dissertation can and will be used to develop a comprehensive and adaptable best practices guide for clinic use.\"","Submission published under a 24 month embargo labeled 'U of I Access', the embargo will last until 2018-08-01","The student, Lena Hann, accepted the attached license on 2016-07-12 at 11:19.","The student, Lena Hann, submitted this Dissertation for approval on 2016-07-12 at 11:26.","DSpace SAF Submission Ingestion Package generated from Vireo submission #9886 on 2016-11-10 at 12:25:16","Made available in DSpace on 2016-11-10T18:42:57Z (GMT). No. of bitstreams: 2 HANN-DISSERTATION-2016.pdf: 1480788 bytes, checksum: 22c1dc43d3c965539b432603db45c8f0 (MD5) LICENSE.txt: 4206 bytes, checksum: 96f536f121f25f945687bd2e16ad8498 (MD5) Previous issue date: 2016-07-12","Embargo set by: Seth Robbins for item 95478 Lift date: 2018-11-10T18:43:22Z Reason: Author requested U of Illinois access only (OA after 2yrs) in Vireo ETD system","U of I Only Restriction Lifted for Item 95478 on 2018-11-11T10:15:19Z.","U of I Only Restriction set for Item 95478 on 2020-01-22T16:17:50Z with date 2022-01-22 by fschaef2@illinois.edu.","U of I Only Restriction set for Item 95478 on 2020-01-22T16:17:53Z with date 2022-01-22 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:06Z with date 2070-02-24 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:14Z with date 2070-02-24 by fschaef2@illinois.edu.","Limited Restriction set for Item 95478 on 2020-02-24T19:03:36Z with date 2070-02-24 by fschaef2@illinois.edu.","Author submitted a 50-year closed restriction request.","Limited"],"dc:format":["application/pdf"],"dc:identifier":["http://hdl.handle.net/2142/93055"],"dc:language":["en"],"dc:rights":["Copyright 2016 Lena Rose Hann"],"dc:subject":["Products of Conception","Fetal Tissue Viewing","Abortion","Clinic Workers"],"dc:title":["Providing the option to look: Independent clinic workers' approaches to fetal viewing practices"],"dc:type":["text"],"thesis:degree_discipline":["Community Health"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:26:35Z"}